Balakrishnan Sudheer
Department of Radiology, Division of Emergency and Trauma Imaging, Emory University School of Medicine, Atlanta, GA, USA.
Emerg Radiol. 2023 Oct;30(5):667-681. doi: 10.1007/s10140-023-02170-5. Epub 2023 Sep 14.
While aortic injury is the most commonly cited thoracic arterial injury, non-aortic arterial injuries represent an uncommon but significant source of morbidity and mortality in blunt and penetrating thoracic trauma patients. Knowledge of the spectrum of vascular injury and anatomic considerations that dictate patterns of associated thoracic hemorrhage will assist the radiologist in the accurate and efficient diagnosis of these injuries. This article provides a review of anatomy, pertinent clinical exam and CT angiography findings, as well as therapeutic options for non-aortic thoracic arterial trauma.
虽然主动脉损伤是最常被提及的胸主动脉损伤,但非主动脉动脉损伤在钝性和穿透性胸部创伤患者中虽不常见却也是发病和死亡的重要原因。了解血管损伤的范围以及决定相关胸腔出血模式的解剖学因素,将有助于放射科医生准确、高效地诊断这些损伤。本文综述了非主动脉胸部动脉创伤的解剖学、相关临床检查和CT血管造影表现,以及治疗选择。